Abnormal fast activity before the onset of west syndrome

Fumika Endoh, Harumi Yoshinaga, Y. Ishizaki, Makio Oka, K. Kobayashi, Y. Ohtsuka

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


In our sequential EEG study performed on 68 infants with various pre- and perinatal brain insults, we found peculiar abnormal fast activity (AFAs) in 12 patients. 9 of the 12 patients with AFAs later developed West syndrome (WS) compared with only 3 of the 56 patients without AFAs (p<0.001, 2 test). We analyzed these AFAs using EEG topography, and compared them with ictal fast activity (IFA) corresponding to tonic spasms observed later in the same patients after they had developed WS. We also investigated the clinical and EEG features in these patients. AFAs were first observed commonly at 45 months of CA, before the onset of WS. AFA topographic maps revealed posterior predominance in 11 of the 12 patients; IFA maps also showed posterior predominance but were more widely distributed. We propose that, though AFAs and IFAs are different, they share certain aspects of their pathophysiology, and that the maturational process of the occipital cortex plays an important role in the shared aspects. Since AFAs are observed before the onset of WS, they can be considered a sign that WS is imminent.

Original languageEnglish
Pages (from-to)51-54
Number of pages4
Issue number2
Publication statusPublished - 2011


  • West syndrome
  • abnormal fast activity
  • ictal EEG
  • infantile spasms
  • topographic analysis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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